Gift Aid Declaration Form

By signing up to become a Gift Aid supporter when you donate goods, we can claim an extra 25% for every item sold. It is free for you and us, so if you are a UK taxpayer, why wouldn't you do it?

Your details

Title *

If other, please tell us your title

First name *

Last name *

Your address

Postcode *

Address 1 *

Address 2

Town / City *

Phone number *

Please note: We are required to send you an end of year Gift Aid letter. Providing your email address will save us considerable postage costs and, unless you want us to, we will not use your email address for any other purpose.

Email *

Boost your donation by 25p for every £1 you donate.

To Gift Aid your donation, please read the statement below and tick the checkbox if you are eligible.

I am a UK taxpayer and I would like Thames Hospice to treat all donations I have made for the four years prior to this tax year, today, and all donations I make from the date of this declaration as Gift Aid donations, until I notify you otherwise.

I understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. Gift Aid is reclaimed by the charity from the tax you pay for the current tax year and your home address is needed to identify you as a UK taxpayer.

Important: Please let us know if your tax circumstances or name/address change so that we can update our records, or if you want to cancel this declaration. Call 01753 847404 or email us

I confirm Thames Hospice Retail Ltd will act as my agent in selling the goods, from which a 2.5% commission fee + VAT will be deducted from the proceeds of the sale. The net proceeds from the sale of the goods will be donated to Thames Hospice. It will not be necessary to write to me to confirm the donations during the year, provided that the total net proceeds from the sale of the goods so far in the tax year has not exceeded £1,000. Thames Hospice will write to me to seek consent to those funds over and above the initial £1,000 being donated, and will write with updates as further goods are sold. Unsold goods will be disposed of.We reserve the right to terminate the agency agreement at any time. By completing this form you are also confirming you are not acting as a business in selling your goods.

We reserve the right to terminate the agency agreement at any time. By completing this form you are also confirming you are not acting as a business in selling your goods.

Would you like to make a Gift Aid declaration?
Yes
No

Stay in touch

Your details will be kept on our database and from time to time we’d like to keep you up-to-date with our work including ways that you can support Thames Hospice. Please let us know how we may contact you.
Yes, I would like to be contacted by emailYes, I would like to be contacted by phonePlease do not contact me by mail